| NPI | 1659660819 |
|---|---|
| Former Name | JENNIFER LYNN KACZINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 272342) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 272342) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-07-06 |